Most Relevant Information
Provider Data
| NPI Number: | 1003254152 |
| Provider Name: | MARY REID |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/11/2013 |
| Last Updated: | 06/11/2013 |
Provider Practice Location
191 RAILROAD LAND
NORLINA
NC
27563
Practice Location Phone/Fax
| Phone: | 2524564071 |
| Fax: |
Provider Mailing Location
PO BOX 115
NORLINA
NC
27563
Provider Mailing Phone/Fax
| Phone: | 2524564071 |
| Fax: |